MODULE 5 & 6

ELBOW, WRIST, & HAND

ELBOW

Constitute 6% of all fractures

ADULT• Radial head 50%

• olecranon 20%

• superocondylar10%

• fracture/ dislocation

15%

CHILD• superocondylar

60%

• lateral condyle15%

• medial 10%

epicondyle

CHILDREN

Comparison views often needed

COLLES

Fracture of the distal radius 20-35mm from articular surface Posterior angulation of the distal fragment Approximately 60% will have fracture of

the ulnar styloid Fall on an outstretched hand

COLLES FX

FIG 9.185a

COLLES FX

FIG 9.185b

SMITH’S

Fracture of the distal radius Anterior angulation of the distal fragment

SMITH’S FX

FIG 9.186a

SMITH’S FX

FIG 9.186b

SMITH’S FX

FIG 9.186c

GALEAZZI

Distal radius fracture with ulnar dislocation

GALEAZZI FX

FIG 9.183

MONTEGGIA

Proximal ulnar fracture with radial dislocation

MONTEGGIA FX

FIG 9.182

HEAD

DIE

DIE

NORMAL X-RAY ANATOMY

Elbow Wrist Hand

ELBOW POSITIONING SLIDES

AP Lateral Jones view Oblique view - has been replaced by radial

head - capitellum view

WRIST POSITIONING SLIDES

PA Ulnar Deviation Lateral Oblique

HAND POSITIONING SLIDES

PA Oblique Lateral

MEASUREMENTS

Axial relationships Carpal alignment

Axial relationships

FIG 2.74a

Carpal alignment

FIG 2.74b